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A Systems Approach to Characterizing and Predicting Thyroid Toxicity Michael Hornung, Kara Thoemke, Joseph Korte, Jose Serrano, John Nichols, Patricia Schmieder, Joseph Tietge, Sigmund Degitz US EPA, Mid-Continent Ecology Division, Duluth, MN McKim Conference June 27-29, 2006 Duluth, MN Thyroid Toxicity Research Endocrine Disruptors Thyroid hormone is important for growth and development, neurodevelopment, metabolism To understand thyroid toxicity need to look at it in the context of the whole Hypothalamus-Pituitary-Thyroid Axis (HPT) Thyroid Hormone Regulation Hypothalamus (CRH) TRH (-) Pituitary Thyrotropes T4 TSH Thyroid Gland Thyroglobulin TPO DIT MIT colloid NIS Iodine DIT DIT Follicular cells T4 T4 Transthyretin Deiodination (D2) Inactivation/ Elimination Deiodination (D3) Conjugation T4 Deiodination (D2) Liver T3 T3 + TR/RXR DNA mRNA Peripheral Tissue Thyroid-axis Systems Model QSAR and in vitro Models Organismal Outcomes Systems Model Hypothalamus TRH (CRH) Pituitary Retarded Development Thyroid Gland Hypertrophy (-) 100 Treated TSH Thyroid Follicular Cell Thyroid Gland 50 0 Thyroglobulin TPO 100 Control MIT DIT 50 0 Iodine T4 DIT Development Transthyretin Inactive TH Deiodination Deiodination Inactive TH Conjugation Deiodination Liver T3+TR/RXR DNA mRNA Peripheral Tissues Why an amphibian model ? Metamorphosis is controlled by thyroid hormone Simple apical endpoint to monitor disruption in vivo Molecular events are well characterized Easy to raise and test in the laboratory • Xenopus laevis Xenopus Metamorphosis X. laevis Plasma Thyroid Hormones Leluop and Buscaglia 1977 8 6 Plasma TH(ng/ml) Climax T4 ng/ml T3 ng/ml 7 Prometamorphosis 5 4 3 2 1 0 52 54 56 58 60 NF Stage 62 64 66 68 MED Thyroid Project Objectives Conduct studies with known HPT disruptors Inhibitors of thyroid hormone synthesis • Thyroid Peroxidase: Methimazole, Propylthiouracil • Sodium Iodide Symporter: Perchlorate Develop diagnostic measures What are the appropriate tissue level endpoints? • Histology, T4, TSH Can gene and protein expression be used as indicators of thyroid axis disruption? Develop assays to enable ranking and prioritization of chemicals Effect of Methimazole on Development and Thyroid Histology 14 d Exposure 100 50 mg/L * 50 25 mg/L 12.5 mg/L Proportion in stage 0 100 * 50 0 100 50 0 100 Control 50 0 55 56 57 58 59 60 Developmental Stage day 8 Summary of Metamorphosis Assay X. laevis is sensitive to model thyroid pathway modulators Methimazole, 6-PTU, Perchlorate Early stage tadpoles (stg 51-54) can be arrested in development by T4 synthesis inhibitors, stage 60 is not Thyroid histology is an essential component of assay More sensitive than developmental rate (d8) Diagnostic Diagnostic Research Approach Link Chemical-Biomolecular Interaction to Organism Response Examine gene expression during normal metamorphosis and following chemical exposure Examine protein changes Circulating T4 and TSH Responses of tissues isolated from compensatory mechanisms Pituitary explant culture: TSH – T4 feedback Thyroid explant culture: TSH stimulation, chemical inhibition of T4 release Develop computational – predictive approaches In vivo Pituitary Gene Expression: Thyroid Stimulating Hormone Developmental Expression Chemical Exposure 8 1.4e+6 6 Copies TSH/ACT Copies TSH per l RNA Extract 1.6e+6 1.2e+6 1.0e+6 8.0e+5 6.0e+5 Control Methimazole Perchlorate Propylthiouracil 4 2 4.0e+5 2.0e+5 0 0.0 50 51 52 53 54 55 56 57 58 59 60 Developmental Stage 61 62 63 64 65 Day 0.5 Day 1 Day 1.5 Day 2 Day 4 Day 6 In Vivo Thyroid Gland Gene Expression Sodium/Iodide Symporter Developmental Expression Chemical Exposure 0.18 0.10 0.16 Copies NIS/Copies ACT Copies NIS per Actin 0.08 0.06 0.04 0.02 0.14 Control Methimazole Perchlorate Propylthiouracil 0.12 0.10 0.08 0.06 0.04 0.02 0.00 0.00 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 Developmental Stage Day 0.5 Day 1 Day 1.5 Day 2 Day 4 Day 6 Pituitary Explant Culture Objective: Characterize function of the pituitary during development and the relationship between T4 and TSH Method: Culture pituitaries from tadpoles at multiple stages of development Measure TSH expression in the pituitaries Gene expression or T4 release in thyroid glands treated with media conditioned by pituitary culture Pituitary Explant Culture TSH mRNA is repressed by T4 5 TSH/RPL32 4 freshly dissected pituitary cultured 96 hours without hormone cultured 96 hours with 1 pM T4 cultured 96 hours with 10 pM T4 cultured 96 hours with 100 pM T4 cultured 96 hours with 1 nM T4 cultured 96 hours with 10 nM T4 3 2 * 1 0 * ** Stage 54 Stage 58 Stage 62 Stage 66 Negative feedback mechanism is functional throughout development although the setpoint changes sensitivity to T4 decreases Thyroid Gland Explant Culture Objective: Define thyroid-specific outputs in response to TSH and xenobiotics in the absence of whole organism compensatory response Method: Culture thyroid glands from prometamorphic tadpoles and treat with TSH and T4 synthesis inhibitors Measure T4 release and gene expression Thyroid Gland Explant Culture: Time relationship of T4 release inhibition T4 Released (ng T4 / mm3 gland / 24h) 400 1000 ng TSH/ml 1000 ng TSH/ml + MM1 2000 ng TSH/ml 2000 ng TSH/ml + MM1 300 200 100 0 1 2 3 4 5 Day 6 8 10 12 Pituitary Explant Culture Feedback mechanisms in the pituitary • Negative feedback by T4 on the pituitary is present in metamorphosis • Sensitivity of the pituitary to this inhibition decreases over time - in early metamorphosis prevent excess T4 - allow more T4 later to complete metamorphosis Thyroid Explant Culture Interpretation of compensatory and direct effects In vitro… • Release T4 in response to TSH is dose related • T4 reserves must be depleted before synthesis inhibition significantly affects T4 release In vivo… • Early stages are more sensitive to arrested metamorphosis by T4 inhibitors than late stages • At late prometamorphosis, thyroid glands are larger and reserve T4 is sufficient to complete metamorphosis • Exposure time 0 does not equal effect time 0 for circulating T4 • Need to measure circulating hormone levels to interpret gene expression and protein responses in vivo Potential Endpoints for HPT-Axis QSAR Development Hypothalamus TRH/CRH Tyrosine Iodination and Hormone Production Pituitary TSH T4 (-) Thyroid Gland Iodine Uptake MIT I + Tyr NIS Iodine TPO DIT DIT DIT T4 Metabolizing Enzyme Induction / Activity T4 Liver metabolism/ conjugation TH-gluc elimination T4 Receptor and Protein Binding Peripheral Tissue Deiodination T3 + TR T3-TR:RXR DNA mRNA HPT-Axis QSAR Development Comparison of Endpoints of T4 Synthesis Inhibition NIS activity TPO activity Membrane protein transports iodine into the follicular cell TPO iodinates tyrosine and couples iodotyrosines to produce thyroid hormone • Limited data on chemical inhibitors of NIS - mostly monovalent anions of similar size as iodide • TPO inhibition data available for more chemicals & classes of chemicals • Methimazole – PTU • Flavonoids • Resorcinols • Lack of data makes it difficult to make informed chemical selection • Difficult assay to transform to high throughput format • More data aids chemical selection process and QSAR model development • Spectrophotometric determination of iodination of tyrosine to MIT • Potential for conversion to high throughput assay HPT-Axis QSAR Development TPO Inhibitors Methimazole CH3 Plant Flavonoids O flavone O N OH S OH NH myricetin O HO OH OH HO Propylthiouracil O Resorcinol & Derivatives OH N recorcinol HS OH N CH3 HO Thyroid Peroxidase Inhibition Literature Data IC50 (M) 10-4 10-5 PTU PTU 10-6 MM1 -1 0 1 2 3 log Kow 4 5 6 HPT-Axis QSAR Development Develop Xenopus-based in vitro assay to begin to test known inhibitors of TPO activity Expand the range of chemicals and classes Select from EPA Chemical Lists Predictive Linkages in vitro → ex vivo (explant culture) → in vivo Systems Approach to Predicting Thyroid Toxicity Chemical Molecular Effects Biological Responses Tissue ------------ Organism Gene Expression QSAR Enzyme Activities TPO UDPGT Regulatory Pathways T4 synthesis and release Feedback mechanisms Adverse Effect & Compensatory Response Protein Binding TR Transthyretin Serum Albumin Ranking & Prioritization of Chemicals EPA Chemical Lists Selection for Screening MED Thyroid Project Team S. Degitz J. Tietge J. Nichols G. Holcombe P. Kosian D. Hammermeister J. Korte S. Batterman B. Butterworth M. Hornung K. Thoemke J. Chowdhury J. Serrano H. Kerr L. Korte M. Bugge J. Olson J. Haselman